|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$482.80 |
$482.80 |
$482.80 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$654.08 |
$654.08 |
$654.08 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$420.71 |
$420.71 |
$420.71 |
$589.18
|
|
Ghs strapping shoulder - 29240
|
$88.14 |
$88.14 |
$88.14 |
$243.07
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$44.61 |
$44.61 |
$44.61 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$168.07 |
$168.07 |
$168.07 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$416.07 |
$416.07 |
$416.07 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$436.77 |
$436.77 |
$436.77 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,641.09 |
$1,641.09 |
$1,641.09 |
$2,225.73
|
|
Ghs trypsin (fecal)
|
$27.48 |
$27.48 |
$27.48 |
$21.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$373.97 |
$373.97 |
$373.97 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$1,343.85 |
$1,343.85 |
$1,343.85 |
$540.00
|
|
Ghs urine, hydroxproline total
|
$264.78 |
$264.78 |
$264.78 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$231.95 |
$231.95 |
$231.95 |
$70.20
|
|
Ghs vaginal delivery only
|
$1,391.66 |
$1,391.66 |
$1,391.66 |
$3,525.06
|
|
Giardia lamblia antibody
|
$46.39 |
$46.39 |
$46.39 |
$81.60
|
|
Gi inhouse confirmation
|
$69.59 |
$69.59 |
$69.59 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$759.35 |
$759.35 |
$759.35 |
$2,382.90
|
|
Gi wireless capsule measure
|
$759.35 |
$759.35 |
$759.35 |
$1,247.13
|
|
Gjb2 gene full sequence
|
$248.01 |
$248.01 |
$248.01 |
$386.10
|
|
Glove finger flexion right lg xl
|
$110.62 |
$110.62 |
$110.62 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$144.37 |
$144.37 |
$144.37 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$164.42 |
$164.42 |
$164.42 |
$509.06
|
|
Glucagon plasma - sendout
|
$46.04 |
$46.04 |
$46.04 |
$58.56
|
|
Glucose 1 hr post dose
|
$30.34 |
$30.34 |
$30.34 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$27.12 |
$27.12 |
$27.12 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.64 |
$4.64 |
$4.64 |
$22.00
|
|
Glucose blood quantitative
|
$38.90 |
$38.90 |
$38.90 |
$44.76
|
|
Glucose body fluid
|
$43.18 |
$43.18 |
$43.18 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$151.30 |
$151.30 |
$151.30 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$16.78 |
$16.78 |
$16.78 |
$34.45
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,573.83 |
$4,573.83 |
$4,573.83 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$57.10 |
$57.10 |
$57.10 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$69.94 |
$69.94 |
$69.94 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,872.62 |
$1,872.62 |
$1,872.62 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$26.05 |
$26.05 |
$26.05 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$604.84 |
$604.84 |
$604.84 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$54.96 |
$54.96 |
$54.96 |
$1,679.75
|
|
Graft nerve adv 3-4x70mm
|
$1,388.81 |
$1,388.81 |
$1,388.81 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$6,269.60 |
$6,269.60 |
$6,269.60 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$217.32 |
$217.32 |
$217.32 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$863.55 |
$863.55 |
$863.55 |
$2,369.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$27.84 |
$27.84 |
$27.84 |
$336.78
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,367.42 |
$3,367.42 |
$3,367.42 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$355.06 |
$355.06 |
$355.06 |
$2,653.10
|
|
Granisetron hcl injection
|
$29.93 |
$29.93 |
$29.93 |
$41.65
|
|
Great toe with reduction 28495
|
$363.62 |
$363.62 |
$363.62 |
$577.03
|
|
Guided cath fluid drainage 10030
|
$2,348.34 |
$2,348.34 |
$2,348.34 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$212.19 |
$212.19 |
$212.19 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$404.30 |
$404.30 |
$404.30 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$142.74 |
$142.74 |
$142.74 |
$503.80
|
|
Gw stiffened micro access kit
|
$5,102.75 |
$5,102.75 |
$5,102.75 |
$6,285.56
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$180.43 |
$180.43 |
$180.43 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$20.89 |
$20.89 |
$20.89 |
$35.40
|
|
Handpiece aquabeam hp2000
|
$1,209.68 |
$1,209.68 |
$1,209.68 |
$6,605.63
|
|
Hand X-ray
|
$210.18 |
$210.18 |
$210.18 |
$338.58
|
|
Haptoglobin quantitative
|
$69.23 |
$69.23 |
$69.23 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$551.32 |
$551.32 |
$551.32 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$185.92 |
$185.92 |
$185.92 |
$406.25
|
|
Hbb full gene sequence
|
$297.96 |
$297.96 |
$297.96 |
$633.25
|
|
Hbb gene dup/del variants
|
$185.92 |
$185.92 |
$185.92 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$299.03 |
$299.03 |
$299.03 |
$494.40
|
|
Hcg free betachain test
|
$42.83 |
$42.83 |
$42.83 |
$54.59
|
|
Hcg qualitative
|
$50.32 |
$50.32 |
$50.32 |
$77.50
|
|
Hcg quantitative
|
$63.88 |
$63.88 |
$63.88 |
$124.80
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$535.26 |
$535.26 |
$535.26 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$288.68 |
$288.68 |
$288.68 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$689.05 |
$689.05 |
$689.05 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$1,367.40 |
$1,367.40 |
$1,367.40 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,256.42 |
$1,256.42 |
$1,256.42 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,231.80 |
$1,231.80 |
$1,231.80 |
$1,268.90
|
|
Heart infarct image
|
$317.23 |
$317.23 |
$317.23 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$28.19 |
$28.19 |
$28.19 |
$84.80
|
|
Hematocrit
|
$23.91 |
$23.91 |
$23.91 |
$33.57
|
|
Hemodialysis one evaluation
|
$722.24 |
$722.24 |
$722.24 |
$1,329.90
|
|
Hemoglobin
|
$23.91 |
$23.91 |
$23.91 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$20.70 |
$20.70 |
$20.70 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$106.34 |
$106.34 |
$106.34 |
$49.40
|
|
Hemoglobin plasma
|
$105.27 |
$105.27 |
$105.27 |
$40.56
|
|
Hemoglobin urine
|
$12.49 |
$12.49 |
$12.49 |
$23.31
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$744.72 |
$744.72 |
$744.72 |
$1,141.40
|
|
Hepagam b intravenous, inj
|
$1,260.17 |
$1,260.17 |
$1,260.17 |
$569.70
|
|
Heparin assay
|
$81.72 |
$81.72 |
$81.72 |
$130.20
|
|
Heparin bolus from bag
|
$36.89 |
$36.89 |
$36.89 |
$79.04
|
|
Heparin neutralization
|
$10.71 |
$10.71 |
$10.71 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$362.68 |
$362.68 |
$362.68 |
$32.27
|
|
Hepatitis a antibody igm
|
$44.97 |
$44.97 |
$44.97 |
$85.15
|
|
Hepatitis b core antibody igm
|
$50.32 |
$50.32 |
$50.32 |
$87.98
|
|
Hepatitis b core antibody total
|
$55.31 |
$55.31 |
$55.31 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,174.30 |
$1,174.30 |
$1,174.30 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$11.42 |
$11.42 |
$11.42 |
$83.79
|
|
Hepatitis c antibody
|
$108.84 |
$108.84 |
$108.84 |
$108.00
|
|
Hepatitis d quantification
|
$38.19 |
$38.19 |
$38.19 |
$145.06
|
|
Hepatobiliary system imaging
|
$652.30 |
$652.30 |
$652.30 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$322.58 |
$322.58 |
$322.58 |
$1,956.00
|
|
Herpes simplex type 1 antibody igg
|
$44.25 |
$44.25 |
$44.25 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$36.76 |
$36.76 |
$36.76 |
$87.10
|
|
Herpes simplex virus isolation
|
$43.54 |
$43.54 |
$43.54 |
$93.32
|
|
Heterophile antibodies screening
|
$3.22 |
$3.22 |
$3.22 |
$73.60
|
|
Hexa gene
|
$82.79 |
$82.79 |
$82.79 |
$179.04
|